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General NPI Number Information
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NPI Number | 1215067376
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Entity Type | Individual
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Provider Name | KERRY A DIXON APRN, APNP, CNM
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 2635 UNIVERSITY AVE W STE 160
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City | SAINT PAUL
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State | MN
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Zip | 55114-1271
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Country | US
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Telephone | 651-254-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 8170 33RD AVE S MS 21110Q
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City | BLOOMINGTON
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State | MN
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Zip | 55425-4516
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 8107
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 0031
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 31
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License Number State | MN
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